Name. . .
Surname Address. Street Address City / Town Postal Code Email ..... Tel: (W).. Tel: (H) .. Cellphone Next Of Kin Name . . . Next Of Kin Number. . Date Of Departure . . . . . . . . . . Time Of Arrival at the Terminal AM PM
Vehicle Registration Number .
Vehicle Make,Model & Colour Complimentary Car Wash and Vacuum Yes No
Full Valet (R300) Yes No
Laundry Service required Yes No
Payment Cash before departure Electronic Funds Transfer (EFT) Cash on collection of vehicle I acknowlege that I have read and understood the Terms and Conditions. (Click here to read them)